Facility Evaluation Report

On this day at around 9:25 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Amanda Grafia. LPA explained to Grafia the purpose of the visit. The Administrator arrived at the facility at around 10am.

Upon arrival, LPA observed 1 staff and 3 clients. Grafia states one client is currently in the hospital.

During the visit, LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, dining, garage and outside areas. The facility is a Level 4C home vendorized by the Regional Center of the East Bay (RCEB). LPA observed fire extinguisher that appeared full and was last serviced on 3/12/2024 . Smoke detectors and carbon monoxide detectors were tested and observed functional. There were sufficient supply of both perishable and non perishable foods. The facility has ample supply of warm blankets, sheets and towels available for use of the clients. First aid kit was inspected and observed complete and updated. Medications were observed locked in a cabinet in the hallway. Hot water measured at 113 Fahrenheit.

At around 9:45 am, LPA reviewed 2 staff and 4 client files. All staff were observed fingerprint cleared and associated to the facility. Staff have current First Aid and CPR training. At 10:30 am, P&I money and log were checked. LPA observed the facility has sufficient amount of surety bond to cover amount of money being handled at one time. At around 10:40 am, LPA reviewed medications and Medications Administration Records (MAR) with Grafia. The facility's last fire drill was conducted on 12/5/24 and last earthquake drill was completed on 1/6/25.

At around 9:30 am, LPA observed Comet cleanser and a pair of scissors unlocked in the kitchen.

Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted with Grafia and a copy of this report and Appeal Rights were provided.